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Conflict of Interest is defined as the participation in any activity,recommended action, <br /> or decision from which the individual has or could have the potential to receive personal <br /> gain,whether it is direct or indirect. In accordance with this definition,do you have any <br /> legal or equitable interest ' any business which could be conshued as a conflict of <br /> interest? Yes No <br /> If yes,provide details on a separate piece of paper. <br /> �� 11/20/18 <br /> Applicant Signature Date <br /> Questions may be directed to the City Clerk's office at 218-568-5222. <br /> Return Completed Application to: City of Pequot Lakes <br /> City Administrator/Clerk <br /> 4638 County Road 11 <br /> Pequot Lakes,MN 56472 <br /> E-mail:nmalecha�nec�uotlakes-mn. o�v <br /> Website:www_pequotlakes-mn.gov <br /> OFFICE USE ONLY <br /> The Applicant is: New Applicant Applying for Reappointment <br /> Coancil Action: Not Appointed <br /> Appointed to• <br /> i3a�e Appointed• <br /> Term Ezpires• . <br /> Notes: <br /> S:1Sandy Documents\City C1erk�Boards and CommissiongUpplication Proceas a�Forms�Application Farm for Bnards and Commissions.doc <br /> Page 3 <br />